title: [The discharge adjustment of cancer patient with pain - the function of pharmacy and the role of pharmacist].
abstract: Cancer is the leading cause of death in Japan. The Cancer Control Act was established in June 2006 to advance a comprehensive and systematic approach to deal with cancer, and efforts are now promoting measures in accordance with local characteristics. We, pharmacies, have seen an increase in the number of patients receiving care at home. During the year from April 2009 to March 2010, 19 out of 24 new home-care patients receiving consultations(approximately 80%)were cancer patients. Excluding 4 cases from that number, opioids were used in 15 cases. In cases not permitting oral administration, a control of acute pain was achieved with the use of suppositories or fentanyl patches. However, there were some cases presented a difficulty in controlling acute pain other than an injection, Hence, an inpatient consultation was performed by other professionals. This paper reports the adjustments involving pharmacies in those 2 cases and problems in dealing with home care treatment along with future topics.
authors.affiliation: Keyaki Pharmacy.
authors.forename: Takeya
authors.initials: T
authors.lastname: Shiraishi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ebihara
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kushida
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D003157:Community Pharmacy Services; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000628:therapy*; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010166:Palliative Care; D010348:Patient Care Team; D010351:Patient Discharge; D010595:Pharmacists
chemical_list: D000701:Analgesics, Opioid